Your browser does not support JavaScript!
This form cannot automatically check that you have submitted all of the required fields without JavaScript.
Please be sure to submit all required fields (marked with stars).

La Paz Regional Hospital

Hospital Donations

La Paz Regional Hospital welcomes online donations from members of our community. There are various needs and programs that continually need support and funding. Please accept our thanks for your consideration and donations. To donate please scroll down the page and read the short directions.
All information will be kept secure and confidential. For more information on membership or to make a donation you may also call our business office. We are a non-profit organization.


We want you to know that our healthcare facility carefully uses your donation for important needs of the hospital. You may donate by providing your credit card information in below fields.

All payments are via secure server. Thank you for your support.
* Name
As It Appears On Donor's Credit Card.
  Donation Designation
In Honor/Memory of:
  Comments or Messages Related To Your Donation
Donation Information
* Amount of Payment
Format: 45.67 (Include decimal and cents. Do not use a dollar sign.)
$
* Card Number
* Expiration Date
* Card Code Verification Number
The three digit number on the back of your card. (Four digit code on the front of American Express.)
* Billing Postal or Street Address
* Billing City
* Billing State
* Billing Zip Code
5 digit zip code